VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Young Men's Christian Association of South Hampton Roads BM Will
1100 North Battlefield Blvd.
Suite A
Chesapeake, VA 23320
(757) 355-2559

Current Inspector: Trisha Brown (757) 404-2601

Inspection Date: Sept. 24, 2019 and Sept. 25, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-185 ADMINISTRATION. 22VAC40-185 PHYSICAL PLANT. 22VAC40-185 STAFFING AND SUPERVISION. 22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES. 22VAC40-185 SPECIAL SERVICES. 22VAC40-80 THE LICENSE.

Comments:

An unannounced monitoring inspection was conducted from 3:30pm to 6pm on September 24, 2019 and 3:05 to 5pm on September 25, 2019. There were 77 children ages four to nine years old with five staff on September 24. Children's records and staff emergency contact information were reviewed. A walking tour of the areas used by licensed program was completed. Required postings, emergency evacuations, first aid kit and emergency items were reviewed. Violations were identified in the areas of administration, physical plant, staffing and supervision, special care provisions and emergencies and the license and appear on the violation notices. The violations were reviewed with the site director on September 24 & 25, 2019 at the conclusion of the inspection.

Violations:

Standard #:	22VAC40-185-40-E
Description:	Based on observations and interviews the center has failed to demonstrate operational responsibilities including but not limited to ensuring the center?s activities, services and facilities are maintained in compliance with these standards Evidence: 1 - Ten violations were cited in four out of eight sections of Standards for Licensed Child Day Centers to include administration, physical plant, special care Provisions and emergencies, and special services, and General Procedures and Information for Licensure. 2 - Staff 1 acknowledged that they are short staffed and out of ratio on a daily basis. a. Staff 1 stated that off-site administrators "are working on hiring more staff." b. Staff 1 stated "we try to get as close to meeting ratio as possible each day." c. The program was not in ratio during the inspection on both days throughout activities.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-60-A
Description:	Based on record review and interview the center failed to maintain and keep at the center a separate record for each child enrolled. Evidence: 1 - Nine children as present for care on the attendance sheet, did not have any record or file available for review on September 24, 2019. 2 - Staff 1 stated "I go to the central office to get new children's records once per week. I have not picked up the newly enrolled records for this week."
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-70-A
Description:	Based on record review and interview the center failed to ensure that when staff records are centrally located that the name, address and telephone number of a person to be notified in an emergency is kept at the center. Evidence: 1 ? On September 24, 2019, the record for staff 4 does not contain documentation of an emergency contact. a. Staff 4 was present working and providing direct care to children enrolled in the program. 2 ? On September 24, 2019, staff 1 stated "we don't have one [emergency contact] for him [staff 4]."
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-270-A
Description:	Based on observation and interview the center failed to ensure that areas outside are maintained in clean and safe condition. Evidence: 1 ? On September 24, 2019 there was a dead squirrel on the playground while 36 children were playing on the playground. a. Four children were observed bending over near the dead squirrel. The children poked the dead animal with sticks and moved it around on the ground. 2 - Staff 3 stated to the children "leave the dead squirrel alone." a. No effort to remove the dead squirrel was observed.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-280-B
Description:	Based on observation and interview the center failed to ensure that hazardous substances are kept in a locked place using a safe locking method that prevents access by children. Evidence: 1 - On September 24, 2019 there was a spray bottle of disinfectant sitting in a wagon in the cafeteria within reach of children. The label contained warnings such as keep out of reach of children and caution. a. Staff 1 confirmed that there was a spray bottle of disinfectant in the wagon, within reach of children. 2 - On September 25, 2019 in the gym, in the unlocked teacher's cabinets the following chemicals were observed; in the red cabinet a spray bottle of disinfectant and a gallon container of disinfectant, a spray can of disinfectant, in the green cabinet a spray can of disinfectant. The labels contained warnings such as keep out of reach of children and caution. a. Children were observed walking past and lining up next to the unlocked cabinets.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-340-F
Description:	Based on observation the center failed to ensure children under 10 years of age always are within actual sight and sound supervision of staff, except when children are using the restroom. Evidence: 1 ? On September 24, 2019, in the cafeteria at approximately 4:39pm to 4:41pm there were 33 children preschool age, four years through school age, seven years old in care in the cafeteria. Staff 1 walked out of the cafeteria, through a door and into the gym leaving the 33 children unattended. a. No other staff were present in the cafeteria at this time.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-350-C
Description:	Based on observation and interview the center failed to ensure that when children are in ongoing mixed age groups, the staff-to-children ratio applicable to the youngest child in the group will apply to the entire group. Evidence: 1 - On September 24, 2019, at approximately 3:30pm there were 41 children in care in the cafeteria with two staff. Children present in this group ranged in age from preschool age, four years to school age, nine years old. a. At approximately 4:16pm there were 35 children in care with two staff. Children present ranged in age from preschool, four years to school age, nine years old, requiring a ratio of 1 staff to 10 children. 2. On September 24, 2019, at approximately 3:46pm there were 36 children outside with two staff. Children present ranged in age from preschool, four years to six years old, requiring a ratio of 1 staff to 10 children. a. At approximately 4:23pm there were 43 children in care on the playground with one staff. Children on the playground ranged in age from preschool, four years to six years old, requiring a ratio of 1 staff to 10 children. 3 - On September 25, 2019 at approximately 3:10pm, walking in the hallway with two staff. Children present ranged in age from preschool, four years to six years old, requiring a ratio of 1 staff to 10 children. a. At approximately 3:15pm there were 18 children in care, in the cafeteria ranging in age from preschool, four years to school age, eight years old, with one staff. Staff 2 reported that the children were six to eight years old. However, review of children's records showed the youngest child in group, child 2, a preschooler age child of four years old. 4 - Staff 1 stated that since September 3, 2019, the program has been operating "as close to compliance as possible. However, there has not been enough staff to cover the ratio on any day.?
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-510-D
Description:	Based on observation and interview the center failed to ensure that the medication authorization is available to staff during the entire time it is effective. Evidence: 1 ? On September 24, 2019, there is an Epi Pen in the medication lock-box for child 1 however, there is not any medication authorization available for staff to review. a. Child 1 was present, in care during the inspection on September 24, 2019. 2 - Staff 1 confirmed that there was not an authorization for the medication belonging to child 1 available for staff review.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-560-G
Description:	Based on observation the center failed to ensure that when food is brought from home the food container is clearly dated. Evidence: 1 ? On September 24, 2019, five lunchboxes belonging to children in care are not labeled with the current date. 2 - Staff 1 confirmed that all lunchboxes are not dated September 24, 2019 as required.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-80-120-E-2
Description:	Based on observation and interview the center failed to ensure that the findings of the most recent inspection of the facility was not posted in the center as required. Evidence: 1 - The results of the most recent inspection, conducted on February 15, 2019, were not posted in the center. 2 - Staff 1 confirmed that the inspection results from February 15, 2019 were not posted in the center.
Plan of Correction:	Not available online. Contact Inspector for more information.